Active NPI
Yudit Villanueva Dominguez
- Family Nurse Practitioner
- Miami, FL
National Provider Identifier
1447067129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11006374
- Practice address
- 13837 SW 15TH St
Miami, FL 33184-2718 - Phone
- (786) 523-9453
- NPI assigned
- Dec 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11006374 | FL | Primary |
Addresses
Primary practice location
13837 SW 15TH St
Miami, FL 33184-2718
Mailing address
13837 SW 15TH St
Miami, FL 33184-2718
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8726 NW 26TH St
Suite 17
Doral, FL 33172-1629
Phone (786) 259-0585
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11006374 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HCDS Business Group LLC | Current | Accepting new patients | |
| DM Family Care LLC | Current | Accepting new patients |
Locations
8726 NW 26th St
Ste 17
Doral, FL 33172
Phone (786) 259-0585
14771 SW 184th St
Miami, FL 33187
Phone (786) 250-5451
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Doral, FL
- NPI 1043028954
-
- Primary Care Clinic/Center
- Miami, FL
- NPI 1306508098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1447067129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13837 SW 15TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331842718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13837 SW 15TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331842718",
"telephone_number": "786-523-9453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANUEVA DOMINGUEZ",
"first_name": "YUDIT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-16",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11006374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Jeany Paola Villamizar Rivero, M.D.
- Nestor Ricardo Villamizar, M.D.
- Marina Villani Capo, PSYD
- Kathryn Lotspeich Villano, M.D.
- Diana M. Villanueva Canas
- Armando Villanueva Ramos, MD
- Melissa Villanueva- Guanchez
- Brianna De la Caridad Villanueva
- Florde Maria Villanueva
- Gisselle Carolina Villanueva, MS, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.